{"id":5000,"date":"2018-09-04T22:13:42","date_gmt":"2018-09-04T22:13:42","guid":{"rendered":"https:\/\/getnugg.com\/blog\/?p=5000"},"modified":"2019-03-05T19:23:52","modified_gmt":"2019-03-06T03:23:52","slug":"cannabis-and-ptsd","status":"publish","type":"post","link":"https:\/\/getnugg.com\/blog\/cannabis-and-ptsd\/","title":{"rendered":"Patient Condition Guide: Cannabis and PTSD"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Imagine walking around your neighborhood on a warm, sunny afternoon. Without warning, a firecracker shoots off. Logically you know it\u2019s just a harmless bang, but it sounds enough like gunfire that you involuntarily duck for cover. If you have a history of trauma, you might experience vivid flashbacks of a time under duress, seeing every detail and feeling time slow like you\u2019re living two timelines at once. Worst of all, you feel unable to quell the anxiety building up.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Almost everyone has had an unpleasant experience that was difficult to let go of and grow past, but for those living with Post Traumatic Stress Disorder, or <a href=\"https:\/\/getnugg.com\/blog\/cannabis-supports-veterans\/\">PTSD<\/a>, this immersive experience is a daily struggle. These individuals must repeatedly relive their traumatic event(s), never knowing what benign interactions may suddenly trigger an intrusive memory or flashback, causing full-on panic.<\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"container-fluid contents-list\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"col-md-8 col-md-offset-2\">\n<div class=\"dk-content\">\n<h2>What you'll learn in this article:<\/h2>\n<p class=\"description\">[Click any of the section titles below to jump there]<\/p>\n<ul>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#1' data-ps2id-offset=''>What Is PTSD?<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#2' data-ps2id-offset=''>Which States Allow Cannabis Treatment for PTSD?<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#3' data-ps2id-offset=''>Current Research About Cannabis and PTSD<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#4' data-ps2id-offset=''>How Some Patients Use Cannabis for PTSD<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#5' data-ps2id-offset=''>Potential Side Effects of Using Cannabis for PTSD<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#6' data-ps2id-offset=''>Dose and Ratio Matter<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#7' data-ps2id-offset=''>How Do I Find the Best Cannabis for My Needs?<\/a><\/li>\n<li><a class=' _mPS2id-h mPS2id-highlight _ps2id' href='#8' data-ps2id-offset=''>Where to Go for Help<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"container\">\n<div class=\"content\" id=\"content-container\">\n<div class=\"row\">\n<div class=\"col-md-8 col-md-offset-2\">\n<div class=\"dk-content\">\n<p>&nbsp;<\/p>\n<h2 id=\"1\"><strong>What Is PTSD?<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">PTSD is a <\/span><a href=\"https:\/\/www.ptsd.va.gov\/public\/PTSD-overview\/basics\/what-is-ptsd.asp\"><span style=\"font-weight: 400;\">mental health condition<\/span><\/a><span style=\"font-weight: 400; color: #000000;\"> that can affect anyone who has survived a traumatic or life-threatening experience.<\/span><span style=\"font-weight: 400; color: #000000;\"> PTSD often afflicts individuals who have been involved in military combat, survived a terrorist attack, experienced a severe accident or natural disaster, or been the victim of assault, though other traumatic events can also lead to PTSD. <\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Individuals living with PTSD typically exhibit recurring symptoms from each of the following categories for at least one month:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Re-experiencing the event through intrusive memories, flashbacks, and\/or vivid nightmares.<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Avoiding discussion of the incident and\/or avoiding places or things that trigger re-experiencing symptoms.<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Feeling tense, being easily upset or startled, and\/or experiencing unpredictable moments of rage or terror (often called \u201chyperarousal\u201d).<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Blocking memories of the event and\/or experiencing the symptoms of severe depression (guilt\/blame, withdrawal, low self-esteem).<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Currently, there&#8217;s no known cure for PTSD, but therapy and other treatments can help manage symptoms, making it easier to cope with daily life. <\/span><a href=\"https:\/\/www.nimh.nih.gov\/health\/topics\/post-traumatic-stress-disorder-ptsd\/index.shtml\"><span style=\"font-weight: 400;\">Experts recommend<\/span><\/a><span style=\"font-weight: 400; color: #000000;\"> trauma-centered psychotherapy, prolonged exposure (PE) therapy, cognitive processing therapy (CPT), and eye movement desensitization and reprocessing (EMDR) therapy.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">In addition, some emerging research suggests that many individuals with PTSD use cannabis to manage their <a href=\"https:\/\/getnugg.com\/blog\/lets-talk-about-cannabis-and-anxiety\/\">anxiety<\/a>\u00a0during the day and to sleep more easily at night.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"2\"><strong>Which States Allow Cannabis Treatment for PTSD?<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">While qualifying symptoms for medical cannabis treatments vary from state to state, PTSD is a common symptom across <\/span><a href=\"http:\/\/norml.org\/legal\/medical-marijuana-2\"><span style=\"font-weight: 400;\">many states that have approved<\/span><\/a><span style=\"font-weight: 400;\">\u00a0medical cannabis use.<\/span><span style=\"font-weight: 400; color: #000000;\"> As of 2018, the following states have recognized PTSD as a qualifying condition for MMJ treatments:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Arizona<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Arkansas<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Colorado<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Connecticut<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Delaware<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Florida<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Georgia (CBD only)<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Hawaii<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Illinois<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Louisiana (non-smokable cannabis products only)<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Maine<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Maryland<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Michigan<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Minnesota<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Montana<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Nevada<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">New Hampshire<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">New Jersey<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">New Mexico<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/getnugg.com\/blog\/new-york-medical-marijuana-patients-guide\/\">New York<\/a> (non-smokable cannabis products only)<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">North Dakota<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Ohio<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Oregon<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Pennsylvania (flower is permitted but must be vaporized, not smoked)<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Rhode Island<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Vermont<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">Washington<\/span><\/li>\n<li style=\"font-weight: 400; color: #000000;\"><span style=\"font-weight: 400;\">West Virginia (non-smokable cannabis products only)<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"3\"><strong>Current Research About Cannabis and PTSD<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">There&#8217;s been substantial research on cannabis and PTSD. So far, though, that research has mostly involved observational studies or correlative reports. Much of the existing research to date hasn&#8217;t included large-scale, long-term, randomized control studies measuring the cannabis&#8217; efficacy as a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4578915\/\"><span style=\"font-weight: 400;\">PTSD treatment option<\/span><\/a><span style=\"font-weight: 400; color: #000000;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"4\"><strong>How Some Patients Use Cannabis for PTSD<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Even though there\u2019s a lack of large-scale clinical studies, <\/span><a href=\"https:\/\/www.ingentaconnect.com\/content\/wk\/bepha\/2016\/00000027\/00000007\/art00001\"><span style=\"font-weight: 400;\">researchers are investigating<\/span><\/a><span style=\"font-weight: 400; color: #000000;\"> whether cannabis can help PTSD sufferers improve their sleep quality, reduce nightmares, and manage hyperarousal\/anxiety symptoms.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.ajhp.org\/content\/72\/15\/1279?utm_source=TrendMD&amp;utm_medium=cpc&amp;utm_campaign=American_Journal_of_Health-System_Pharmacy_TrendMD_0&amp;sso-checked=true\"><span style=\"font-weight: 400;\">Studies<\/span><\/a><span style=\"font-weight: 400;\"> have also sought to determine whether cannabis may help control neurotransmitter functions, alter the memory process, and improve overall mood.<\/span><span style=\"font-weight: 400; color: #000000;\"> Further research (including clinical, reproducible results) is necessary to better understand the role cannabis may play in treating the symptoms of PTSD.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"5\"><strong>Potential Side Effects of Using Cannabis for PTSD<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Some studies suggest that cannabis use may be problematic among people with PTSD. <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1521-0391.2012.12018.x\"><span style=\"font-weight: 400;\">Researchers have expressed concerns<\/span><\/a><span style=\"font-weight: 400; color: #000000;\"> about possible dependence and withdrawal symptoms in some patients.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">In addition to these concerns, it\u2019s worth remembering that <strong>researchers <\/strong><\/span><strong><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/hup.1048\">don\u2019t fully understand<\/a><\/strong><span style=\"font-weight: 400;\"><strong> the relationship between cannabis and anxiety<\/strong>.<\/span><span style=\"font-weight: 400; color: #000000;\"> Because PTSD often causes anxiety and hyperarousal of panic in many, anyone considering using medicinal cannabis should proceed with caution. If you have PTSD and are prone to anxious reactions, talk to your primary physician about these and other potential risks associated with using cannabis.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"6\"><strong>Dose and Ratio Matter<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Recreational cannabis customers often choose strains or edibles with the highest THC content. However, high doses of THC may not always be best for someone with serious medical needs, including patients with PTSD. <\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Instead of a high-THC product, ask your budtender about a high-CBD option. Researchers are investigating whether CBD may offer <\/span><a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0269881110379283\"><span style=\"font-weight: 400;\">potential health benefits<\/span><\/a><span style=\"font-weight: 400; color: #000000;\"> that include managing the symptoms of generalized anxiety,<\/span><span style=\"font-weight: 400; color: #000000;\"> which could have implications for patients living with PTSD. Some cannabis strains with high CBD include Charlotte\u2019s Web, ACDC and Ringo\u2019s Gift. There are also many high-CBD\/low-THC concentrates, edibles, tinctures, and sublingual sprays. <\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Also check which terpenes,\u00a0the aromatic hydrocarbons that give cannabis its unique smell and taste, are in your flower or concentrates. Terpenes may offer their own additional therapeutic benefits, which i<\/span><span style=\"font-weight: 400; color: #000000;\">s nothing new.\u00a0<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3165946\/\"><span style=\"font-weight: 400;\">Multiple studies indicate<\/span><\/a><span style=\"font-weight: 400; color: #000000;\">\u00a0that linalool, found in lavender and numerous cannabis strains, may offer anxiolytic (anxiety-reducing) effects in some.<\/span><span style=\"font-weight: 400; color: #000000;\"> However, aromatherapy isn&#8217;t recognized as a legitimate treatment option and more research is needed.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Try keeping a written record of which strains\/concentrates\/tinctures you\u2019ve tried, how you were feeling before and after, and any overall impressions you had. This will help identify which strains and products work best for you.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"7\"><strong>How Do I Find the Best Cannabis for My Needs?<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">Start by talking to your doctor about your needs as a PTSD patient. He or she may advise you to avoid cannabis altogether or may have some recommendations, like sticking with <a href=\"https:\/\/getnugg.com\/blog\/cbd\/\">CBD<\/a>. No one besides your doctor can determine whether cannabis can help or worsen your symptoms.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"8\"><strong>Where to Go for Help<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400; color: #000000;\">We understand you may have more questions, and we\u2019re here to help. Nugg&#8217;s cannabis concierge service connects you with a team of experts who can address your questions or concerns. <a href=\"https:\/\/getnugg.com\/concierge\" target=\"_blank\" rel=\"noopener\">Nugg\u2019s Cannabis Concierge<\/a> can also share product information as well as overall emerging industry knowledge. Trust Nugg to help you meet your needs and give you the answers you want and talk to your doctor about treating your PTSD symptoms.<\/span><\/p>\n<hr \/>\n<p><span style=\"font-weight: 400; color: #000000;\"><i>Disclaimer: This blog post is for informational purposes only. While the content is accurate and true to the best of our knowledge, the author is not a medical professional. There may be omissions, errors, and mistakes. Therefore, never solely rely on the information in this, or any other post on our site or affiliated sites, for medical advice. This post does not create a physician\/patient relationship with any of Nugg or NuggMD&#8217;s affiliated staff or physicians.<\/i><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Imagine walking around your neighborhood on a warm, sunny afternoon. Without warning, a firecracker shoots off. Logically you know it\u2019s just a harmless bang, but it sounds enough like gunfire that you involuntarily duck for cover. If you have a history of trauma, you might experience vivid flashbacks of a time under duress, seeing [&hellip;]<\/p>\n","protected":false},"author":30,"featured_media":5001,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,58,1102,1085,965],"tags":[9,1070,557,221],"class_list":["post-5000","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cannabis","category-cannabis-education","category-medical-conditions","category-medical-marijuana","category-new-patient-guides","tag-cannabis","tag-post-traumatic-stress","tag-ptsd","tag-veterans"],"_links":{"self":[{"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/posts\/5000"}],"collection":[{"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/comments?post=5000"}],"version-history":[{"count":0,"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/posts\/5000\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/media\/5001"}],"wp:attachment":[{"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/media?parent=5000"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/categories?post=5000"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/getnugg.com\/blog\/wp-json\/wp\/v2\/tags?post=5000"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}